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Part 1 – At Local Newspaper

Complete the form below.

Write ONE WORD AND/OR A NUMBER for each answer.

Newspaper Photo Reprint Request Form

Example
Newspaper date: March 10th

  • Newspaper pages: the 1 ______ Page

  • Newspaper story: Student Athlete of the 2 ______

  • Photo subject: James 3 ______

  • Photo use: 4 ______

  • Image type: 5 ______

  • Size: Regular
  • Quantity: Three
  • Price: 6 ______
  • Processing option: 7 ______
  • Payment type: 8 ______
  • Delivery method: 9 ______
  • Reading frequency: every 10 ______